View RCF - OIRA Conclusion

Title: SF-424 Application for Federal Assistance

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/20/2021
Terms of Clearance:

Description of Agency Usage: This form must be filled out as completely as possible. Make sure that you include your DUNS number and your CAGE code and expiration date on the form. The form must be signed by your authorized representative and dated.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Kimble Brown 202 692-0042 kimble.brown@wdc.usda.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
HHS SF-424 Burden Collection		100	100	0	Form	SF-424	Application for Federal Assistance

RCF Summary of Burden:

	Total Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	100	100
Annual Time Burden (Hours)	100	100
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request to use the common form resulting in the use of 100 burden hours.